Displaying 1 - 8 of 8
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
40 A3223 PAXIL 20MG TAB (GSK/COL) PAROXETINE 30'S C 3.05 20MG 0 2022-04-01 2024-03-31 0
41 A3223 PAXIL 20MG TAB (GSK) PAROXETINE (C) 30'S C 3.3499 20MG 42 2024-04-01 2026-03-31 6
40 A322AQ PAXIL CR 25MG TAB (GSK/COL) PAROXETINE 30'S BP 3.05 25MG 0 2022-04-01 2024-03-31 6
41 A322AQ PAXIL 25MG CR TAB (GSK) PAROXETINE 30'S BP 3.2294 25MG 42 2024-04-01 2026-03-31 6
40 A322BB PAXIL CR 12.5MG CAP (GSK/COL) PAROXETINE 30'S BP 1.61 12.5MG 0 2022-04-01 2024-03-31 6
41 A322BB PAXIL 12.5MG CR CAP (GSK) PAROXETINE (BP) 30'S BP 1.7134 12.5MG 0 2024-04-01 2026-03-31 0
40 A322FC APO-PAROXETINE 20MG TAB (APO/COL) 100'S A 0.25 20MG 30 2022-04-01 2024-03-31 6
41 A322LD APO-PAROXETINE 20MG TAB (APO) 100'S A 0.2542 20MG 42 2024-04-01 2026-03-31 6